I O O F Home And Community Therapy Center - Mason City Nursing Home

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Federal Provider Number
165536
Provider Name
I O O F HOME AND COMMUNITY THERAPY CENTER
Provider Address
1037 19TH STREET SW
MASON CITY, IA 50401
Provider Phone Number
(641) 423-0428
Provider SSA County
160
Provider County Name
Cerro Gordo
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
88
Number of Residents in Certified Beds
80
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
IOWA ODD FELLOWS & ORPHANS HOME
Date First Approved to Provide Medicare and Medicaid services
2004-03-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.98313
Reported LPN Staffing Hours per Resident per Day
0.64813
Reported RN Staffing Hours per Resident per Day
0.63563
Reported Licensed Staffing Hours per Resident per Day
1.28375
Reported Total Nurse Staffing Hours per Resident per Day
4.26689
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01688
Expected CNA Staffing Hours per Resident per Day
2.40447
Expected LPN Staffing Hours per Resident per Day
0.61341
Expected RN Staffing Hours per Resident per Day
0.94526
Expected Total Nurse Staffing Hours per Resident per Day
3.96313
Adjusted CNA Staffing Hours per Resident per Day
3.04421
Adjusted LPN Staffing Hours per Resident per Day
0.87699
Adjusted RN Staffing Hours per Resident per Day
0.50245
Adjusted Total Nurse Staffing Hours per Resident per Day
4.33985
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-07-31
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
10
Cycle 2 Health Deficiency Score
127
Cycle 2 Standard Health Survey Date
2013-05-09
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
127
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-04-30
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
48.33300
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
7
Number of Fines
1
Total Amount of Fines in Dollars
4713
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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